DR. ROD W PERRY (NPI# 1629170956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629170956 |
| Entity Type | Individual |
| Full Name | DR. ROD W PERRY |
| Credential | M.D. |
| Practice Address |
365 Hawthorne Ave Suite 202 Oakland CA 94609-3114 |
| Practice Telephone | 5104190211 |
| Practice Fax Number | 5104190140 |
| Mailing Telephone | 5104190211 |
| Mailing Fax Number | 5104190140 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2014-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G33909 | CA | Other Service Providers |
| Street Address |
365 HAWTHORNE AVE SUITE 202 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686156 | Rupert Roupen Horoupian | Specialist | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2006-04-05 |
| 1588061378 | First Surgical Consultants | General Acute Care Hospital | 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 | 2014-11-24 |
| 1477826683 | Kelley Lockwood Brennan | Nurse Practitioner | 365 Hawthorne Ave, Suite 301, Oakland, CA 94609-3107 | 2012-02-17 |
| 1891084117 | Debbie Choi Man Chan | Physician Assistant | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2011-04-07 |
| 1679701858 | Cheruba Prabakar | Obstetrics & Gynecology | 365 Hawthorne Ave, Ste 301, Oakland, CA 94609-3107 | 2009-06-26 |
| 1487813697 | Christa Kong | Physician Assistant | 365 Hawthorne Ave, Suite 201, Oakland, CA 94609-3107 | 2008-06-03 |
| 1922205442 | Associated Neurology Medical Group, Inc. | Psychiatry & Neurology | 365 Hawthorne Ave, Suite 203, Oakland, CA 94609-3107 | 2007-06-28 |
| 1720284011 | Thomas Raymond Hardey | Clinical Neuropsychologist | 365 Hawthorne Ave, Suite 104, Oakland, CA 94609-3107 | 2007-06-22 |
| 1992913859 | Diane Kwan | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2007-05-21 |
| 1598806986 | Douglas Stannage Patton | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535505 | Lucille Arsua Lawrence | Specialist | 3014 Macarthur Blvd, Oakland, CA 94602-3212 | 2019-08-26 |
| 1598317554 | Julie Anne Gross | Specialist | 4131 1/2 Piedmont Ave, Oakland, CA 94611-5109 | 2019-07-10 |
| 1508394461 | Corrin Hill | Specialist | 3510 Grand Ave, Oakland, CA 94610-2010 | 2017-05-23 |
| 1679006993 | Gay Searcy | Specialist | 120 Capricorn Ave, Oakland, CA 94611-1943 | 2017-04-04 |
| 1770025330 | Elise Simone Francis | Specialist | 1927 Durant Ave, Oakland, CA 94603-3939 | 2016-11-14 |
| 1629529243 | Flor Baldovinos | Specialist | 7200 Bancroft Ave # Sit267, Oakland, CA 94605-2403 | 2016-10-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1922450881 | Charles B Kennell | Specialist | 6301 Girvin Dr, Oakland, CA 94611-2457 | 2016-07-04 |
| 1588036875 | Claritza Marisol Gomez | Specialist | 3301 E. 12th Street, Suite 259, Oakland, CA 94601-2940 | 2015-10-26 |
| 1366826349 | Wayne C Chan,md,inc | Specialist | 620 Hiller Dr, Oakland, CA 94618-2353 | 2015-07-20 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.